Individual provider Active NPI

Roberta Jean Polizzotto, ATC

  • Athletic Trainer
  • Rock Hill, SC
National Provider Identifier
1649262387
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
641 Issued in SC
Practice address
Winthrop University
31 Winthrop University Coliseum
Rock Hill, SC 29733-0001
Phone
(803) 323-2509
NPI assigned
Aug 18, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 641 SC Primary
Athletic Trainer 2255A2300X RT000512A PA

Addresses

Primary practice location

Winthrop University
31 Winthrop University Coliseum
Rock Hill, SC 29733-0001

Mailing address

2373 Sweetbriar LN
Rock Hill, SC 29732-6402
Phone (803) 324-3615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT000512APAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649262387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 SWEETBRIAR LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297326402",
            "telephone_number": "803-324-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WINTHROP UNIVERSITY",
            "address_2": "31 WINTHROP UNIVERSITY COLISEUM",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297330001",
            "telephone_number": "803-323-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIZZOTTO",
        "first_name": "ROBERTA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "641",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT000512A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.